Recently, Xiao Shuai (pseudonym), a physical education teacher at a middle school in Changsha, in a volleyball game, in order to save a ball, his head and teammate's knee had a violent impact. The little handsome teacher's head was deformed, and the range the size of a fist was all sunken. This frightens those present.
The teammate immediately dialed the 120 emergency number and sent him to the emergency department of the Second People's Hospital of Hunan Province. Ct examination revealed that the right side of the skull was repaired with a titanium mesh depression, but fortunately there was no major bleeding in the skull.
It turned out that Teacher Xiaoshuai had a serious car accident two years ago, and was rescued in the Neurosurgery Department of the Second People's Hospital of Hunan Province, and did craniotomy to remove bone flaps. After more than a year of treatment, titanium mesh repair surgery for skull defects was also done. He is very well recovered, can lead his classmates to physical education classes, and participate in basketball and football games is not a problem. After a long time, I left the cranial thing behind, because of my cheerful personality, love of sports, coupled with the needs of work, often participate in some fierce confrontation sports, which has the beginning of the scene.
The patient's skull
Li Xin, director of the Second Ward of Neurosurgery of the Second People's Hospital of Hunan Province, introduced that skull defects not only bring a large mental burden to patients, but also require skull repair due to the lack of a complete skull protective barrier in brain tissue.
Although the patient's titanium mesh depression did not seriously affect his brain nerve function for the time being, the strength of the titanium mesh was affected after deformation, and the appearance affected the appearance, and it still needed surgery to repair and replace the new skull repair material.
In addition to high-quality and high-level surgery, of course, the material for skull repair is also a top priority. Skull repair materials first require a high degree of biocompatibility, and need to ensure a certain strength and stiffness at the same time, not only to provide strong enough protection, but also to meet the needs of shaping, to achieve a satisfactory effect of shape repair and plastic surgery.
After a long period of development, repair materials are also becoming more and more advanced. From metal sheets, plexiglass, light apatite and calcium phosphate bone cement, etc., to titanium mesh materials widely used in clinical practice in the previous period, it can be said that they are constantly improving. But these materials have always had problems of one kind or another, and they have not achieved very good results.
CT reconstruction of the patient's skull
Director Li Xin introduced that the department currently uses a new type of material polyetheretherketone, also known as PEEK material, its biocompatibility is very good, no rejection reaction, does not affect the postoperative medical examinations, in addition, it is in strength, stiffness, elasticity, heat insulation and other aspects are equivalent to the autologous skull, more importantly, it is preoperative according to the patient's skull data for three-dimensional shaping. Suitable for patients like Xiao Shuai teacher who need to exercise frequently and have requirements for aesthetics.
It is understood that the medical team of the second ward of the neurosurgery department is about to perform skull repair surgery for Xiao Shuai.
Experts further remind that patients with skull repair, although theoretically the repair material is close to the autologous skull, still need to be more careful to avoid accidents.
Contributed by: Neurosurgery Ward II Xiong Zhiwei
Editor: Shi Rong
Image: Partly from the Internet, invaded and deleted